|
Slp ther svc non-spch gen
|
$204.10 |
$204.10 |
$204.10 |
|
|
Sm-153 lexidron ther
|
$15,695.96 |
$15,695.96 |
$30,588.35 |
|
|
Small bowel endoscopy
|
$4,478.67 |
$4,478.67 |
$4,478.67 |
|
|
Small bowel endoscopy
|
$3,536.10 |
$3,536.10 |
$3,536.10 |
|
|
Small bowel endoscopy
|
$4,008.62 |
$4,008.62 |
$4,008.62 |
|
|
Small bowel endoscopy
|
$6,142.99 |
$6,142.99 |
$6,142.99 |
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$5,625.48 |
$5,625.48 |
$5,625.48 |
|
|
Small bowel endoscopy/biopsy
|
$3,858.47 |
$3,858.47 |
$3,858.47 |
|
|
Small bowel endoscopy br/wa
|
$1,735.50 |
$1,735.50 |
$8,047.07 |
|
|
Small bowel endoscopy br/wa
|
$3,763.27 |
$3,763.27 |
$3,763.27 |
|
|
Smear fluorescent and/or acid fast stain
|
$23.13 |
$55.25 |
$97.50 |
|
|
Smear gram stain
|
$42.37 |
$52.65 |
$102.00 |
|
|
Smear nasal eosinophil
|
$21.65 |
$45.50 |
$76.00 |
|
|
Smear special stain inclusion bodies/parasites
|
$26.00 |
$69.55 |
$122.00 |
|
|
Smear wet mount
|
$21.74 |
$62.40 |
$156.00 |
|
|
Snrpn/ube3a gene
|
$380.90 |
$479.34 |
$586.00 |
|
|
Sock wool above knee
|
$46.79 |
$46.79 |
$46.79 |
|
|
Sodium 24 hour urine
|
$44.20 |
$47.18 |
$124.15 |
|
|
Sodium chloride 0.9 % intravenous solution
|
$42.25 |
$42.25 |
$65.00 |
|
|
Sodium chloride 0.9 % IV bolus
|
$42.25 |
$48.71 |
$65.00 |
|
|
Sodium chloride 0.9 % IV bolus
|
$24.18 |
$42.25 |
$42.25 |
|
|
Sodium chloride 3 % ivpb
|
$17.39 |
$17.39 |
$42.25 |
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$9.45 |
$9.45 |
$155.02 |
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$831.15 |
$831.15 |
$831.15 |
|
|
Sodium serum/plasma/whole blood
|
$24.88 |
$33.15 |
$63.00 |
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$12.60 |
$12.60 |
$14.04 |
|
|
Somatosensory testing
|
$358.35 |
$358.35 |
$358.35 |
|
|
Somatropin injection
|
$339.59 |
$339.59 |
$339.59 |
|
|
Special physics consult
|
$224.41 |
$777.40 |
$32,940.70 |
|
|
Special radiation dosimetry
|
$138.75 |
$397.80 |
$18,529.55 |
|
|
Special radiation treatment
|
$609.48 |
$1,862.25 |
$46,255.32 |
|
|
Special teletx port plan
|
$389.33 |
$890.50 |
$21,500.70 |
|
|
Specific gravity body fluid
|
$14.99 |
$24.70 |
$42.90 |
|
|
Specimen fat stain
|
$24.00 |
$58.50 |
$73.45 |
|
|
Speech evaluation complex
|
$304.20 |
$468.00 |
$684.45 |
|
|
Sperm antibody test
|
$107.25 |
$107.25 |
$146.25 |
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,848.30 |
$2,848.30 |
$3,102.45 |
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$159.01 |
$390.65 |
$887.25 |
|
|
Splint finger frog med
|
$4.55 |
$4.55 |
$4.55 |
|
|
Splint func pos polyflex ii med
|
$104.00 |
$104.00 |
$455.00 |
|
|
Splint rstrc wrst/cmc right med
|
$34.45 |
$34.45 |
$34.45 |
|
|
Split blood or products
|
$65.12 |
$65.12 |
$317.85 |
|
|
Sr-89 stront chlor ther / mci
|
$6,990.75 |
$10,718.35 |
$10,718.35 |
|
|
Srs linear based
|
$3,766.05 |
$3,766.05 |
$46,780.40 |
|
|
Srs multisource
|
$50,441.36 |
$50,441.36 |
$50,441.36 |
|
|
St analysis behavior qualitative voice/resonance
|
$64.57 |
$429.00 |
$662.00 |
|
|
Staph a dna amp probe
|
$74.75 |
$109.20 |
$111.15 |
|
|
St cognitve performance testing healthcare professional each hour
|
$106.28 |
$205.40 |
$533.00 |
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$46,301.25 |
$46,301.25 |
$46,301.25 |
|
|
Stent axios caut enh 15x10mm electrocaut
|
$8,447.40 |
$8,447.40 |
$15,722.85 |
|
|
Stent bili dbl pgtl 10fx5cm
|
$376.35 |
$376.35 |
$3,445.00 |
|
|
Stent bili rx wallflx 10x80 uncvr
|
$3,270.80 |
$3,270.80 |
$23,887.50 |
|
|
Stent iliac/open or perc/uni/init 37221
|
$24,193.19 |
$24,193.19 |
$24,193.19 |
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$20,776.24 |
$20,776.24 |
$20,776.24 |
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$27,143.57 |
$27,143.57 |
$27,143.57 |
|
|
St evaluate speech sound production
|
$68.64 |
$403.00 |
$662.00 |
|
|
St evaluate speech sound production comprehensive/expressive
|
$142.36 |
$430.30 |
$673.00 |
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$134.59 |
$329.55 |
$739.00 |
|
|
St evaluation swallow function
|
$88.43 |
$323.05 |
$673.00 |
|
|
Strapping of ankle and/or ft 29540
|
$69.55 |
$89.36 |
$179.40 |
|
|
Strapping of chest
|
$111.37 |
$111.37 |
$111.37 |
|
|
Strapping of elbow or wrist 29260
|
$87.10 |
$176.31 |
$176.31 |
|
|
Strapping of hand or finger
|
$153.74 |
$153.74 |
$153.74 |
|
|
Strapping of hip
|
$114.33 |
$114.33 |
$114.33 |
|
|
Strapping of knee
|
$68.25 |
$93.52 |
$241.80 |
|
|
Strapping of toes 29550
|
$60.45 |
$78.90 |
$78.90 |
|
|
Strep a ag ia
|
$53.00 |
$96.85 |
$149.00 |
|
|
Strep b dna amp probe
|
$79.30 |
$102.70 |
$193.05 |
|
|
Streptomycin injection
|
$26.21 |
$26.21 |
$328.09 |
|
|
Streptozocin injection
|
$459.11 |
$459.11 |
$4,784.65 |
|
|
Stress test pulmonary
|
$135.61 |
$221.00 |
$408.00 |
|
|
Stress tte complete
|
$1,585.35 |
$1,671.15 |
$2,571.00 |
|
|
Str markers specimen anal
|
$756.60 |
$815.10 |
$1,297.00 |
|
|
St treatment speech individual
|
$66.05 |
$222.30 |
$681.20 |
|
|
St treatment swallow dysfunction/oral
|
$87.32 |
$226.20 |
$524.00 |
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$7.15 |
$7.15 |
$61.83 |
|
|
Sugars single quant
|
$92.91 |
$92.91 |
$92.91 |
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$26.62 |
$30.57 |
$177.84 |
|
|
Sulfonylurea screen qn-sendout
|
$65.65 |
$65.65 |
$92.95 |
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$48.12 |
$53.62 |
$82.50 |
|
|
Support clav 29.6-40.5in med
|
$70.20 |
$70.20 |
$70.20 |
|
|
Supprelin la implant
|
$25,852.66 |
$25,852.66 |
$25,852.66 |
|
|
Surg dx exam anorectal
|
$3,795.53 |
$3,795.53 |
$4,788.76 |
|
|
Surgical pathology level 1 gross examination only
|
$23.31 |
$23.31 |
$9,624.56 |
|
|
Surgical pathology level 2 gross & microscopic examination
|
$48.56 |
$48.56 |
$16,299.04 |
|
|
Surgical pathology level 3 gross & microscopic examination
|
$50.14 |
$201.50 |
$9,826.17 |
|
|
Surgical pathology level 4 gross & microscopic examination
|
$68.45 |
$300.30 |
$3,405.77 |
|
|
Surgical pathology level 5 gross & microscopic examination
|
$160.30 |
$160.30 |
$15,457.58 |
|
|
Surgical pathology level 6 gross & microscopic examination
|
$208.22 |
$208.22 |
$20,587.81 |
|
|
Susceptibility agar dilution per agent
|
$20.72 |
$28.60 |
$44.00 |
|
|
Susceptibility enzyme detection per enzyme
|
$13.97 |
$30.55 |
$50.00 |
|
|
Susceptibility mic per plate
|
$39.00 |
$120.90 |
$163.98 |
|
|
Suscept studies macrobroth dilution ea
|
$122.85 |
$122.85 |
$122.85 |
|
|
Svc venogram s&i
|
$867.10 |
$1,188.20 |
$2,166.45 |
|
|
Sweat collection by iontophoresis
|
$50.14 |
$50.14 |
$194.00 |
|
|
Synvisc or synvisc-one
|
$1,242.63 |
$1,242.63 |
$4,460.17 |
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$39.00 |
$49.40 |
$76.00 |
|
|
System pacing micra av
|
$5,362.50 |
$5,362.50 |
$14,625.00 |
|
|
System pcmkr dual chamber leadless micra av2 intrdcr cath
|
$6,035.25 |
$6,035.25 |
$15,886.00 |
|
|
T3 (triiodothyronine) free
|
$60.45 |
$89.82 |
$131.95 |
|
